Correlation of intravesical prostatic protrusion with severity of lower urinary symptoms among patients with benign prostatic hyperplasia

Hamza, Babatunde Kolapo; Mashaly, Ahmed; Bello, Ahmad; Tolani, Musliu Adetola; Awaisu, Mudi; Lawal, Ahmad Tijjani; Oyelowo, Nasir; Abdulsalam, Khalifah Ibrahim; Lawal, Lateef Owolabi; Sudi, Abdullahi; Maitama, Hussaini Yusuf

doi:10.1186/s12301-020-00102-0

Cited by 3 publications

(6 citation statements)

References 34 publications

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“…Severe intravesical protrusion may be associated with a higher risk for (progressive) LUTS. 4 These findings suggest the clinical importance of adequate diagnosis and treatment of symptomatic BPH with IPP.…”

Section: Discussionmentioning

confidence: 93%

Intravesical protrusion of giant median prostatic lobe: A case report

Duijn¹,

Hovius²,

Boevé³

2022

Urology Case Reports

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Section: Discussionmentioning

confidence: 93%

Intravesical protrusion of giant median prostatic lobe: A case report

Duijn¹,

Hovius²,

Boevé³

2022

Urology Case Reports

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“…The mean IPP in this study was 13.0 ± 4.0 mm which lies within grade III IPP. This is similar to the findings of Hamza et al .,[ 6 ] Agbo et al .,[ 28 ] Oshagbemi et al .,[ 35 ] and Sigdel et al . [ 36 ] who reported mean IPP of 10.3 mm, 12.9 mm, 13.04 mm, and 14.6 mm, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…[ 38 ]; and 37.1%, 12.6%, 50.3% by Hamza et al . [ 6 ] The tally of the IPP subgroups differ between studies possibly because of the differences in the age, prostate volume, and median/lateral lobe enlargement of the recruited subjects. Furthermore, in the index study, a whopping 27 participants had BPH without IPP.…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 4 5 ] The International Prostate Symptoms Score (IPSS), Iversen score, Madsen score, Boyarsky score, and Danish prostatic symptom score are validated for assessing the severity of lower urinary tract symptoms, but the IPSS is the preferred instrument in men. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 ] It also correlates strongly with bladder outlet obstruction index measured by pressure flow studies. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonographic intravesical prostatic protrusion in men with benign prostatic hyperplasia in Southwest Nigeria

Okedere

Idowu²,

Onigbinde

2023

J West Afr Coll Surg

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Objectives: To study the relationship between sonographically measured intravesical prostate protrusion and international prostate symptoms score (IPSS), as well as prostate volume, in men with benign prostatic hyperplasia at a single health facility. Materials and Methods: This was a cross-sectional observational study of one hundred men (age >40 years) diagnosed with benign prostatic hyperplasia. Their International Prostate Symptoms Score (IPSS) was assessed using the standardised IPSS instrument. Abdominal ultrasound was done to measure the intravesical prostatic protrusion (IPP), while prostate volume was estimated transabdominally and transrectally. Correlations between parameters were quantified with Spearman’s correlation test. P ≤ 0.05 was statistically significant. Results: The mean age was 62.84 ± 9.0 years (Range =42–79 years). The mean IPSS was 20.99 ± 6.42 (range of 5–30). Seventy-three percent of the men in this study had intravesical prostatic protrusion on ultrasound. The mean IPP was 13.0 ± 4.0 mm. Of the 73 men with IPP, 17 (23.3%), 29 (39.7%), and 27 (37%) had grade I, grade II and grade III IPP, respectively. The mean transabdominal prostate volume (TPVA) and transrectal prostate volume (TPVT) were 71 ± 14 ml and 69 ± 13 ml, respectively. IPP had a statistically significant positive correlation with all the other parameters. The strongest correlation (very high correlation) was with the TPVA (r=0.797, P < 0.0001), followed by a moderate correlation with the IPSS (r =0.513, P < 0.0001). TPVT, transition zone volume, transition zone index, presumed circle area ratio, and quality of life score yielded slightly weaker moderate correlation with IPP, while IPP correlated weakly with age. Conclusion: IPP correlated well with multiple clinical and sonographic parameters. It correlated better with TPVA than TPVT.

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Prevalence and Distribution of Postvoid Residual Urine Volume in a Hospital-Based Sample of Men with Symptomatic Benign Prostatic Hyperplasia

Anyimba,

Amu,

Nnabugwu

et al. 2023

Nigerian Journal of Clinical Practice

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Background: Benign prostatic hyperplasia (BPH) is a known cause of bladder outlet obstruction (BOO) in aging men. Patients present with lower urinary tract symptoms (LUTS), elevated postvoid residual urine (PVR), and reduced peak flow rate of urine. Although urodynamic study is the gold standard for diagnosing and quantifying BOO, it is invasive and as such urologists in their routine practice frequently rely on less invasive methods like PVR estimation to objectively assess BOO. Aim: To study the prevalence and distribution of PVR in a hospital-based population of men with symptomatic BPH. Materials and Methods: Patients aged 40 years and above were enrolled for the study. History was taken from each of the 170 participants recruited, and physical examination was done including digital rectal examination. Every one of them completed the International Prostate Symptom Score (IPSS) questionnaire and also had ultrasonography assessment of PVR. Relevant laboratory investigations (PSA, renal function test, full blood count, urinalysis, and urine culture) and uroflowmetry to determine the peak flow rate of urine (Qmax) were done. Results: A total of 170 subjects who met the inclusion criteria were enrolled for this study. The mean age of the subjects was 63.70 ± 9.92 years with a range of 42–88 years. The subjects had a mean PSA of 2.68 ± 0.91 ng/ml and a mean prostate volume of 70.8 ± 39.5 ml. The prevalence of significant PVR was 57.06%. The distribution of PVR was skewed with values ranging from 4.0 ml to 382.9 ml, a median value of 60.5 ml (interquartile range, IQR, =25.0–100.76), and a mean value of 77.70 ± 69.30 ml. An IPSS range of 8 to 23 with a mean value of 13.64 ± 4.14 and a median value of 13 (interquartile range = 10.0-16.0) was observed. The Qmax range was from 5 ml/s to 50 ml/s with a mean value of 20.25 ± 9.70 ml/s, and a median value of 18.0 ml/s (interquartile range = 14.0–24.0). Conclusion: This study showed that the prevalence of significant PVR volume among men with symptomatic BPH in our environment is high. There was also a high variation in the distribution of PVR among the subjects. Therefore, it is essential to create more public awareness especially among men in their fourth decade of life and above to visit a urologist whenever they have BPH symptoms so as to avoid impairment in quality of life and renal function associated with neglected significant PVR.

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Correlation of intravesical prostatic protrusion with severity of lower urinary symptoms among patients with benign prostatic hyperplasia

Cited by 3 publications

References 34 publications

Intravesical protrusion of giant median prostatic lobe: A case report

Intravesical protrusion of giant median prostatic lobe: A case report

Ultrasonographic intravesical prostatic protrusion in men with benign prostatic hyperplasia in Southwest Nigeria

Prevalence and Distribution of Postvoid Residual Urine Volume in a Hospital-Based Sample of Men with Symptomatic Benign Prostatic Hyperplasia

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